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General NPI Number Information
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NPI Number | 1215578174
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Entity Type | Organization
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Legal Business Name | NEXT EVOLUTION HEALTHCARE INC
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 253 S MOUNT VERNON AVE STE 300
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City | UNIONTOWN
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State | PA
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Zip | 15401-4146
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Country | US
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Telephone | 724-201-1487
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Fax |
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Provider Business Mailing Address
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Address Line | 253 S MOUNT VERNON AVE STE 300
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City | UNIONTOWN
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State | PA
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Zip | 15401-4146
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Country | US
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Telephone | 724-201-1487
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | SHELLY HENDRICKS
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Credential |
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Telephone | 724-570-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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